About a Patient's Medical History

In MedicalDirector Clinical, 'History' refers to a patient's medical
conditions, both active and inactive. Note also that whilst the data tab
in the Clinical Window states Past History, this list can also include current,
active conditions.

oEach history
item contains a value for year (the year in which the condition first
occurred) and date (the date on which the patient informed you of the
condition), a description of the item, a comment, and codes that flag
the item for printing in summaries and as confidential. An unlimited number
of items can be stored for each patient.

oData can
be viewed by Year, Date, Condition, Side, Status, Summary, Confidential
and Coded by clicking on the appropriate column heading, or by All Records,
Active, Inactive or Summary items.

oThe Comment
field displays comments for a selected item.

oThe Coded
field indicates if the diagnosis was made by selecting from the DOCLE A coding system used to standardise data entry, help ensure consistency, and provide a base for use with Drug Interactions and Searching list of diagnosis.

oWhen there
is no significant past medical history to report, tick the associated
check box to indicate this.